在COVID-19之后的Clostridioides difficile感染:在威尔士使用例行监测数据进行全国性的分析
Ember Hilvers1, Joshua Matizanadzo2, Victoria McClure3
1Welsh Healthcare Epidemiologist Network (WHEN), Public Health Wales, Cardiff, Wales.
感染COVID-19 (冠状病毒疾病2019) 与患上Clostridioides difficile感染 (CDI) 的可能性增加了一倍. 然而,其他感染是CDI的较强风险因素,这表明CDI发病率增加的多因素原因.
科学领域:
- 传染性疾病 传染性疾病
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 自2020年夏天以来,Wales的Clostridioides difficile感染 (CDI) 发生率已经上升.
- 同时的CDI和COVID-19感染与较差的结果有关.
- COVID-19对CDI可能性的直接影响尚不清楚.
研究的目的:
- 调查CDI和COVID-19之间的关系.
- 评估二次感染对CDI发展的影响.
- 分析常规监测数据以获得流行病学见解.
主要方法:
- 生态病例控制研究,比较威尔士CDI病例与SARS-CoV-2暴露.
- 对COVID-19病例的队列研究,以追踪90天内CDI的发展.
- 利用例行监测数据进行人口层面的分析.
主要成果:
- 12%的CDI病例之前患有COVID-19,与对照人群相比,这种可能性翻了一番 (OR 2.1).
- 其他感染独立地增加了八倍的CDI概率 (OR 8.0).
- 在COVID-19患者中,二次感染时CDI风险更高 (RR 4.6) 并随年龄增加.
结论:
- 在COVID-19和CDI之间存在关系.
- 在COVID-19之后的CDI很少见,这表明其他有助于的因素.
- 自2020年以来,CDI利率的增加可能是多因素的.
更多相关视频
12:58A Protocol to Characterize the Morphological Changes of Clostridium difficile in Response to Antibiotic Treatment
Published on: May 25, 2017
09:12A Protein Microarray Assay for Serological Determination of Antigen-specific Antibody Responses Following Clostridium difficile Infection
Published on: June 15, 2018
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